Senior Clinical Fellow (SPR) in Heart Failure /Transplant Medicine

Role: Senior Clinical Fellow (SPR) in Heart Failure /Transplant Medicine

Location: Harefield Hospital

This is a registrar-level post in Advanced Heart Failure/Transplant Medicine; the successful applicant will join a dynamic team with an international reputation. Harefield Hospital provides specialist cardiothoracic services including interventional cardiology, thoracic and cardiac surgery. This post is to commence in July for a period of 6 months with a possible extension by mutual agreement (up to a maximum of 23 months where appropriate).

This post offers clinical experience and training in advanced heart failure, ventricular assist device support and clinical management after heart transplantation. It is suitable for those seeking a post CCT fellowship in advanced heart failure and for current trainees in cardiovascular medicine who wish to have a period of out-of-programme training in advanced heart failure.

The post holder will undertake an active role in inpatient care and participate in outpatient clinics as well as the EWTD-compliant on-call rota.
1. To work as full-time medical team member of the Trust’s multi-disciplinary transplant team.
2. To provide clinical management and support to heart failure patients receiving mechanical circulatory support. Such support is primarily used as a bridge to transplantation.
3. To provide clinical teaching to medical team members, with particular emphasis on management of advanced heart failure, ventricular assist devices and post-transplant long term care.
4. To conduct clinical audit and retrospective analysis of clinical data, with emphasis on training and mentoring junior team members.

Royal Brompton and Harefield hospitals joined Guy’s and St Thomas’ in February 2021 and is the largest specialist heart and lung centre in the UK and among the largest in Europe. We provide treatment for people with heart and lung disease, including rare and complex conditions, offering some of the most sophisticated treatment that is available anywhere in the world.
Our integrated approach to caring for patients from before birth, through childhood, adolescence and into adulthood and old age has been replicated around the world and has gained Royal Brompton and Harefield an international reputation as a leader in heart and lung diagnosis, treatment and research.
Guy’s and St Thomas’ NHS Foundation Trust comprises five of the UK’s best known hospitals – Guy’s, St Thomas’, Evelina London Children’s Hospital, Royal Brompton and Harefield – as well as community services in Lambeth and Southwark, all with a long history of high quality care, clinical excellence, research and innovation.
We have a long tradition of clinical and scientific achievement and – as part of King’s Health Partners – we are one of England’s eight academic health sciences centres, bringing together world-class clinical services, teaching and research. We have one of the National Institute for Health Research’s biomedical research centres, established with King’s College London in 2007, as well as dedicated clinical research facilities.

Clinical Responsibilities

• To work as a full-time clinical member of the multi-disciplinary team, including participation and presentation at weekly Multi-disciplinary Team Meetings and other meetings in the Division and Trust.
• To ensure good communication is maintained within the Transplant service at Harefield Hospital, working in collaboration with medical and surgical colleagues, other departments and services.
• To assist when required in the Angiography Laboratory.
• To attend and lead Outpatient Clinics.
• To arrange for the transfer of patients to/from other hospitals or discharge home; including a transfer/discharge summary.
• To perform minor surgical procedures such as chest aspiration, chest drain insertion, central venous lines and arterial blood gases etc.
• Supervise and train junior staff allocated to the Transplant Service.
• To undertake regular ward rounds to ensure effective management during the in-patient stay.
• To keep the Ward Sister and Consultant informed of any patient who is giving cause for concern.
• To communicate to a patient’s relative the progress of that patent.
• To dictate / input all urgent discharge summaries only and ensure that these are forwarded to the patients General Practitioner or hospital of transfer as soon as possible after the patient is discharged.
• To be available for emergency calls to ITU and other parts of the hospital as required (i.e. Cardiac Arrest).
• Participate in the Medical Audit Programme and update relevant patient database programmes.
• Participate fully in the service and training programme of the Transplant Service and Heart Division.
• To accept that occasional emergencies and unforeseen circumstances may occur, and to respond to the needs of the service when they arise.

On Call
Participate in an on-call rota covering inpatient activity and emergency work. This may involve cross cover to Lung Failure and Cardiology Services.

The Middle Grade Doctors provide second on call to ST1-3 doctors and on a 1:7 rota. They are resident on-call 8am to 8pm daily with availability by telephone thereafter.